Evidence map›Paper›PMID 38314340›Full record

ArticleJournal of clinical and experimental dentistry2024

Enamel fluorosis related with fluoride-containing water ingestion and urinary excretion in schoolchildren.

Farith González-Martínez, Ruth Gómez-Scarpetta, Olga-Bibiana Salcedo, Patricia Bermúdez-Reyes, Patricia Castro-Villamizar, María Del Pilar Cerezo, Carmen Martínez, Lesbia Tirado-Amador, Andrés Salas-Zambrano, Alexandra Saldarriaga and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of clinical and experimental dentistry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 45% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 9 institutions in 1 country.

Farith González-MartínezDDS, MSPH, PhD. Public Health Research Group Universidad de Cartagena-Cartagena de Indias, Colombia.
Ruth Gómez-ScarpettaLatin American Network of Research on Fluorides and Dental Fluorosis, Cartagena 130014, Colombia.
Olga-Bibiana SalcedoDDS, MSc. Universidad de Antioquia-Medellín, Colombia.
Patricia Bermúdez-ReyesDDS, MSc. Universidad Cooperativa de Colombia-Envigado, Colombia.
Patricia Castro-VillamizarDDS, MSc. Corporación Universitaria Rafael Núñez, - Cartagena, Colombia.
María Del Pilar CerezoDDS, MSc. Universidad Autónoma de Manizales-Manizales, Colombia.
Carmen MartínezDDS, MSc. Universidad Santo Tomás-Bucaramanga, Colombia.
Lesbia Tirado-AmadorDDS, MSc. Universidad del Sinú-Cartagena, Colombia.
Andrés Salas-ZambranoDDS, MSc. Universidad Cooperativa de Colombia-Pasto, Colombia.
Alexandra SaldarriagaDDS, MSc, PhD. Universidad CES-Medellín, Colombia.
Marisol Sánchez-MolinaDDS, MSc, PhDc Universidad Metropolitana-Barranquilla, Colombia.
Luis-Armando VilaDDS, MSc, PhD. Universidad del Magdalena-Santa Marta, Colombia.
Universidad Cooperativa de Colombia · COAsociación Colombiana de Facultades de Ingeniería · COClínica CES · COUniversidad Autonoma de Manizales · COUniversidad de Antioquia · COUniversidad del Sinú · COUniversidad Metropolitana · COUniversidad Santo Tomás · COUniversity of Magdalena · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Natural water sources are considered as the major environmental exposure of fluoride, resulting in increased prevalence of enamel fluorosis. This type of natural exposure should be permanently monitored to avoid the interactions with other non-natural fluoride sources. We evaluated the prevalence of enamel fluorosis in Colombian schoolchildren and its relationship with fluoride-containing water ingestion exposure dose and urinary fluoride excretion. Material and Methods: We included 923 schoolchildren aged 7-12 years residing in eight municipalities in Colombia. Sampling of consumption water was performed in major aquifers used for daily supply. Samples were collected in 98 polyethylene containers and refrigerated until analysis. Water and urine fluoride concentrations were measured using the fluoride selective electrode method. Enamel fluorosis was evaluated using Thylstrup and Ferjerskov Index (TFI). Demographic and anthropometric characteristics were assessed. Besides, other exposures to non-natural fluoride were also evaluated. Logistic regression was applied for multiple analyses. Results: The median fluoride concentration in water and urine samples was 10.5 mg/L and 0.63 mg/L respectively, with the highest value found in Algarrobo-Magdalena, and the lowest value found in Manzanares-Caldas. The overall prevalence of enamel fluorosis was 86.1%, being more frequent the mild codes with TFI-1 to TFI-2. The highest prevalence was found in Margarita-Bolívar and Manzanares-Caldas, and the most severe codes (TFI-5 to TFI-9) were detected in Manzanares-Caldas. The multiple analysis revealed water ingestion exposure dose, urinary excretion, involuntary intake of toothpaste, amount of table salt consumption and sex as significant factors ( Conclusions: The fluoride ingestion exposure dose and its subsequent urinary excretion could be used as estimators of past fluoride exposure, explaining the current prevalence of enamel fluorosis in Colombian schoolchildren.

Identifiers

PMID38314340
PMCPMC10837805
OpenAlexW4390461207

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.